Get Dl 921

The DL 921 is a crucial form used to report non-compliance with ignition interlock device requirements in California. This guide provides a clear and supportive step-by-step approach to help you successfully complete the form online.

Follow the steps to accurately fill out the DL 921 form.

1. Click ‘Get Form’ button to access the DL 921 and open it in the editor.
2. Complete Section 1 by entering the driver information, including their full name, mailing address, residence address (if different), birth date, and contact numbers.
3. In Section 2, provide details about the manufacturer and facility that installed the ignition interlock device, including the facility's name and address.
4. Fill out Section 3 with the ignition interlock device information, such as the device's serial number and date of installation.
5. In Section 4, provide vehicle information, including the make, year, license plate number, and vehicle identification number.
6. Section 5 requires you to report any non-compliance incidents. Enter specific dates related to bypass attempts, tampering, and failures to comply with maintenance requirements.
7. Complete Section 6 by having the installer certify the information provided, including their printed name, signature, and date.
8. After filling out the form, review all entered information for accuracy. Save changes, download a copy, or print the form as necessary.

Complete your DL 921 online today and ensure compliance with ignition interlock device regulations.